<%@ page language="java" contentType="text/html; charset=UTF-8"
    pageEncoding="UTF-8"%>
<!DOCTYPE html>
<html>
<head>
<meta charset="UTF-8">
 <meta name="renderer" content="webkit">
  <meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1">
  <meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1">
  <link rel="stylesheet" href="${pageContext.request.contextPath}/static/layui/css/layui.css">
  <script src="${pageContext.request.contextPath}/static/layui/layui.js"></script>
<title></title>
</head>
<body>
<form class="layui-form" id="bockonform"  lay-filter="qurey" >

<div class="layui-form-item">
<div class="layui-inline">
    <label class="layui-form-label">患者编号</label>
    <div class="layui-input-block">
      <input type="text" name="personid" id="personid" lay-verify="title" placeholder="请输入患者编号"  class="layui-input" >
    </div>
  </div>
  
  <div class="layui-inline">
      <button type="button" class="layui-btn layui-btn-warm" id="find" >查询</button>
  </div>
</div>

<div class="layui-form-item">
 <div class="layui-inline">
    <label class="layui-form-label">患者编号</label>
    <div class="layui-input-block">
      <input type="text" name="personid1" lay-verify="title"  class="layui-input" readonly="readonly">
    </div>
  </div>
  
   <div class="layui-inline">
    <label class="layui-form-label">患者姓名</label>
    <div class="layui-input-block">
      <input type="text" name="personname" lay-verify="title" class="layui-input" readonly="readonly">
    </div>
  </div>
  
   <div class="layui-inline">
    <label class="layui-form-label">患者年龄</label>
    <div class="layui-input-block">
      <input type="text" name="age" lay-verify="title"   class="layui-input" readonly="readonly">
    </div>
  </div>
  
   <div class="layui-inline">
    <label class="layui-form-label">挂号等级</label>
    <div class="layui-input-block">
      <input type="text" name="reglevel.levelid"  lay-verify="title"  class="layui-input" readonly="readonly">
    </div>
  </div>
  </div>
  
<div class="layui-form-item">
 <div class="layui-inline">
    <label class="layui-form-label">就诊状态</label>
    <div class="layui-input-block">
      <input type="text" name="seeingstate" lay-verify="title"  class="layui-input" readonly="readonly">
    </div>
  </div>
  
   <div class="layui-inline">
    <label class="layui-form-label">挂号状态</label>
    <div class="layui-input-block">
      <input type="text" name="regstate" lay-verify="title" class="layui-input" readonly="readonly">
    </div>
  </div>
  
   <div class="layui-inline">
    <label class="layui-form-label">挂号医生</label>
    <div class="layui-input-block">
      <input type="text" name="doctor.doctorname" lay-verify="title"   class="layui-input" readonly="readonly">
    </div>
  </div>
  
   <div class="layui-inline">
    <label class="layui-form-label">挂号金额</label>
    <div class="layui-input-block">
      <input type="text" name="money"  lay-verify="title"  class="layui-input" readonly="readonly">
    </div>
  </div>
  </div>
  <div class="layui-form-item">
  <div class="layui-inline">
    <label class="layui-form-label">挂号日期</label>
    <div class="layui-input-block">
      <input type="text" name="regdate"  lay-verify="title"  class="layui-input" readonly="readonly">
    </div>
  </div>
    <div class="layui-inline">
      <button type="button" id="backon" class="layui-btn layui-btn-warm">退号</button>
  </div>
 </div>
  
</form>
<script src="${pageContext.request.contextPath}/static/js/backon.js"></script>
</body>
</html>